Mental Health Nursing Exam 1 Review: Complete Study Guide with Questions & Answers

MENTALIHEALTHITESTI1IREVIEWI–INURSINGIEXAMISTUDYIGUIDE,IVERIFIEDIQUESTIONSIANDICORRECTIANSWERS,I
QUIZIBANK,IANDILATESTI
I

ClozapineI(Clozaril):IknowIwhatInormalIWBC/ANCI(absoluteIneutrophilIcount)IisI
a. NormalIRangeIANCI=I1.5I-I8.0I(1,500ItoI8,000)I
b. NormalIRangeIforIWBCI=I5kI-I10kI
c. HOLDIMEDSIIFIANCILOW:I

Moderate:IgoingItoIholdImedIandIorderIdailyIANCIwasI606IandIWBCIwas
I
1,300
i.IMild:I1,000I-I1,499IANC,IbloodIdrawnI3x,IweeklyIuntilIbackIupItoI1,500Iii.II

iii.ISevere:I<I500IANC,IdailyIbloodIdrawnI
CanIcauseI hypersalivation,IlowerIsedationIandIweightIgain
nurseIpatientIrelationship IandIphasesIofIitI)I(hildegardI
d.II
2. KnowI peplau)Ia.IPre-orientationI
b. Orientation:IstartIterminationIorIdischargeIplanI
c. WorkingI
d. TerminationI
e. TransferenceI(PtItoIRN)I
i. PatientIunconsciouslyItransfersIfeelingsItowardItheInurseIthatItheIpatientIha
sItowardsIsomeoneIelseI
f. CountertransferenceI(RNItoIPt)I
i. NurseIunconsciouslyItransfersIfeelingsIontoItheIpatientIthatItheInurseIhasIto
wardsIsomeoneIelseI
3. KnowIsideIeffectsIofIantipsychoticIdrugsI
a.IFirstIGenerationI
i.Itypical,conventionalI

, LOWIpotencyI(ElixirIandIIMIfo Labs:ICheckIFastingIBloodISugarI(FBS)IandIFastingILipidIPanelI(FLP)I
rmulation)I >CommonIS/EIofILowIPotencyIAgentsI
●I AnticholinergicI
ChlorpromazineI( )I Thorazine ○I DryIMouthI
>WhatIlabsIneedItoIbeIchecke ○I ConstipationI
d?I ○IBlurredIVisionI(studentInurseIofferIaImagazineItoIread,IstudentIneedsImoreIteachin
g)I
Others:I ○I UrinaryIretentionI
ThioridazeI(mellaril)I ○I ConfusionI
MesoridazineI(Serentil)I ● Sedation-HistamineIBlockageI
● AdrenergicIBlockage-IMuscarinic/HypotensionI
● EPS**I
*TheIDr.IordersIaIpt.Ithorazine.ITheIpt.IspitsItheImedicationIoutIandIisInoncompliant.
IWhatIactionIdoIyouItakeInext?I

-
contactItheIphysicianIandIrecommendItheImedicationIinIaIliquidIformI(patientIadvo
cate)I
I



HIGHIPotencyI(ElixirIandIIMIformulation)I **GiveIBenedryl,ICogentin,IandIArtaneIwithIHighIPotencyI
drugsItoIreduceIEPSICommonIS/E:I
HaloperidolI(Haldol)I ● EPS:I
- Dystonia-IabnormalImuscleItoneIthatIcausesIspasmI
- Akathisia-Iagitation,Idistress,IandIrestlessnessI
FluphenazineI(Prolixin)I
- Pseuodoparkinsonism-
>IfIpatientIisInoncompliantItoItakingItheImedication,I IshuffleIgait,IdroolingItremors,Ibradykinesia,IrigidityI(
giveIDepotIformulationIIMIeveryI4IweeksI(Haldol)Ian WifeIstateIhusbandIshufflingIdueItoIthis…IclutterIfre
dIeveryI2-4IweeksI(Prolixin)I eIenvironment)I
- holdIhaldolIifInoticeIaItwitchIandIassessIforIinvolunta
Others:I
ryImovementI
PrimozideI(orap)I
ThiothiexeneI(navane)I
- tardiveIdyskinesia-IdifficultyImovingI
TrifkuperazineI(Stelazine)I
● AnticholinergicISEI
PerphenazineI(Trilafon)I
● SedationI
LoxapineI(loxitane)I
● **WeightIGain!I




b. AtypicalI(SecondIgeneration)I

, i. effectiveIforIbothIpositiveIandInegativeIsymptomsIc.II
I
I

I I

ClozapineI(Clozaril)I >BaselineICBCI(WBCIcount),IalsoIcausesI
>WhatIlabIlevelIdoIyouIneedItoIlookIat?I hypersalivationI


RisperidoneI(Risperdal)I >IIt’sIanIantipsychoticIandIitItreatsIbothI
>WhatIsymptomsIdoesIitItreat?I positiveIandInegativeIsymptomsI
I

**EKGIbeforeIstartingIGeodonI(increas
ZiprasidoneI(Geodon)I>WhatIdoIyouIneedItoIcheckIbefor eIHR)I
eIstartingIGeodonIandIthroughoutItheItreatment?I - TakeIwithIfoodIorIlosesI
- LessIsedativeI
I
other:I I

OlanzapineI(zyprexa)I CommonIS/E:I
QuetiapaineIFumarateI(seroquel)I ● IncreasedIappetiteI
LurasidoneIHCLI(Latuda)I ● WeightIgainI
I ● HyperglycemiaI
OralIDisintegratingITablets:IeveryI2IweeksIIMI ● Hyperlipidemia-
IAlsoIMonitorIFBS/FLP*I

OlanzapineI(ZyprexaIZydis)I
RisperidoneI(Risperdal)IM-TabI I